Bridgett Bodine

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61416550 Issued in WA

Practice address

16000 Bothell Everett Hwy Ste 360
Mill Creek, WA 98012-1577

Phone

(425) 357-9111

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mill Creek Family Services, PLLC

  • Mental Health Counselor
  • Mill Creek, WA
  • NPI 1902241623
  NPD (past)
• Diana Wright, Psy.D., LLC

  • Psychologist
  • Reno, NV
  • NPI 1780181248

  Marriage & Family Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1134818925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 NW 61ST ST UNIT 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075700",
            "telephone_number": "775-830-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY STE 360",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121577",
            "telephone_number": "425-357-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODINE",
        "first_name": "BRIDGETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61416550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Lynn Black, AT,C
• Gwendolyn Black, LPN
• Cleo B Bloomquist, PT
• Bmi DC PS
• Swapna J Bobba, M.D.
• Anne-Marie Bollen, DDS, MS, PHD
• Shelley J Bond, L.M.P.
• Declan Connor Boyle, PT, DPT
• Brooke Brandeberry
• Jessica E Brandt, ARNP

• Marriage & Family Therapist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.